Substance use among African American adolescents in the Midwest

The purpose of this article is to examine the attitudes and substance use behaviors of African American adolescents living in the Midwest. A baseline survey was administered to 463 African American teens between the ages of 11-19. The article examines the relationship between attitudes toward drugs and drug-using behavior in this African American sample. Drug use will be compared to national drug use norms established by the Youth Risk Behavior Surveillance Survey. Overall participants had fairly negative attitudes toward drugs. Sixty percent of the sample reported that they were committed to a drug-free life, 74% had made a decision to stay away from marijuana, 79% reported making a decision not to smoke cigarettes, and 71% reported they would not get drunk in the next year. Females were more likely to stay away from marijuana than males. In this current study there is cause for alarm; participants reported higher percentages of ever smoking cigarettes and marijuana than the Youth Risk Behavior Surveillance Survey. This study shows there is a need to provide substance abuse prevention programs for African American adolescents. Limitations and future directions are also discussed.     

The Power of Aspirations and Expectations: The Connection Between Educational Goals and Risk Behaviors Among African American Adolescents

Numerous studies and interventions have been designed to either reduce the prevalence of risky behaviors (substance use, sexual activity, etc.) or increase the level of educational activity for adolescents. Research suggests that these two constructs may be related yet little is known about this relationship among African American youth. Archival data from the Risk Reduction Project was used to explore the connection between the protective factors of educational aspirations/expectations and recent participation in risky behavior. Results suggest that recent use of marijuana, alcohol to the point of intoxication, and sexual activity predicted lower aspirations and expectations among African American youth. From a positive youth development perspective, this study suggests the development of holistic interventions that build educational assets in youth, in addition to working to minimize risk behaviors. Limitations and suggestions for future research are also discussed.     

The power of aspirations and expectations: the connection between educational goals and risk behaviors among African American adolescents

Numerous studies and interventions have been designed to either reduce the prevalence of risky behaviors (substance use, sexual activity, etc.) or increase the level of educational activity for adolescents. Research suggests that these two constructs may be related yet little is known about this relationship among African American youth. Archival data from the Risk Reduction Project was used to explore the connection between the protective factors of educational aspirations/expectations and recent participation in risky behavior. Results suggest that recent use of marijuana, alcohol to the point of intoxication, and sexual activity predicted lower aspirations and expectations among African American youth. From a positive youth development perspective, this study suggests the development of holistic interventions that build educational assets in youth, in addition to working to minimize risk behaviors. Limitations and suggestions for future research are also discussed.     

Sexual Attitudes and Behaviors Among Adolescents

The purpose of this article is to examine the self-reported sexual attitudes and behaviors of adolescents living in the Midwest. A survey was administered to 463 African American youths ages 11–19. The results indicate that intent to have sexual intercourse, reported likelihood toward having sexual intercourse, and whether participants felt that they would have sex in the next 3 months were predictors of whether they had sexual intercourse at the 3-month follow-up. The results also revealed that the opinions of referent others did not predict sexual intercourse at 3 months. Negative attitudes toward condoms did predict condom use at 3 months and the opinions of referent others also predicted condom use at 3 months. Limitations as well as future research are also discussed.     

Sexual attitudes and behaviors among adolescents

The purpose of this article is to examine the self-reported sexual attitudes and behaviors of adolescents living in the Midwest. A survey was administered to 463 African American youths ages 11-19. The results indicate that intent to have sexual intercourse, reported likelihood toward having sexual intercourse, and whether participants felt that they would have sex in the next 3 months were predictors of whether they had sexual intercourse at the 3-month follow-up. The results also revealed that the opinions of referent others did not predict sexual intercourse at 3 months. Negative attitudes toward condoms did predict condom use at 3 months and the opinions of referent others also predicted condom use at 3 months. Limitations as well as future research are also discussed.     

Assessing the Health Behaviors of African American Emerging Adults

The purpose of this article was to assess the overall health behaviors of African American emerging adults who live in a Midwestern city. Two hundred participants, ages 18–25, completed a 129-item survey. Results indicate that African American emerging adults are engaged in relatively healthy behaviors (i.e., physical activity, low substance use). The results also showed that within the emerging adult developmental period, there are differences in behavior for those who are in the younger (18–20) versus those that are older (21–25) in the developmental period. Limitations, future research, and implications for practice will also be discussed.     

Alcohol Use and Violence Among Adolescents in a Multiethnic Setting

Abstract

This study compares the prevalence of drinking behaviors and violence (fighting, weapon carrying, being threatened and feeling unsafe) among Hawaiian, other Asian American and Pacific Islander (AAPI), and Caucasian students, using data collected from the Youth Risk Behavior Survey in Hawaii in 1997 and 1999 (N = 2,146). Native Hawaiians and Caucasians were more likely than other AAPIs to have had a drink and to binge drink. Drinking behavior was a predictor for all violence behaviors, increasing its likelihood as much as ten-fold. Violent behaviors differed by ethnicity. The findings highlight the need to develop culturally sensitive strategies for violence prevention and to explore risk factors among AAPI subgroups.     

An Examination of the Reliability,Data Screening Procedures,and Extreme Response Patterns for the Youth Risk Behavior Surveillance Survey

Abstract

This article explores psychometric characteristics of the Youth Risk Behavior Surveillance Survey (YRBS), one of the most widely used instruments to assess the prevalence of violent and other high-risk behaviors in secondary school settings. Response patterns were analyzed for a subset of 414 youths who indicated that they had carried a weapon to school six or more times during the preceding 30 days, and were compared to a matched sample of youths randomly selected from the 13,610 participants in the 2001 national administration of the YRBS. Results indicated that extreme responders to the weapon-carrying item were considerably more likely than their counterparts to respond in an extreme fashion to all YRBS items, including risk items pertaining to school (e.g., physical fights on school property) and outside school (e.g., alcohol consumption) factors, as well as positive health behaviors (e.g., healthy eating habits). Overall, the results suggest an ex-treme response bias among some participants that may impact the validity of the YRBS instrument. More specifically, presence of this response bias may inflate estimates of the prevalence of school violence and related concerns. These findings are discussed in light of the need to carefully examine individual response patterns on future administrations of the YRBS in an effort to ensure maximum instrument utility.     

Daring,Substance Use and Involvement in Violence Among School Children

Abstract

This study explores whether the association between substance use and involvement in youth violence is a unique association resulting from the properties of the drugs, or whether it is part of a larger behavioral cluster. The sample was composed of 1,571 10th grade students from the Israeli secular and religious state school systems, including both Jewish and Arab schools. The results indicate that the strongest predictor for unplanned violent activities such as physical fights is alcohol use, suggesting that this chemical substance may lower the threshold of unplanned violence. However, daring was found to be the strongest predictor for planned violent activities such as bullying and weapon carrying, suggesting that the behavioral pattern is the most influential. Thus future research and intervention programs would perhaps benefit from differentiating between planned and unplanned violence.     

Assessing the health behaviors of African American emerging adults

The purpose of this article was to assess the overall health behaviors of African American emerging adults who live in a Midwestern city. Two hundred participants, ages 18-25, completed a 129-item survey. Results indicate that African American emerging adults are engaged in relatively healthy behaviors (i.e., physical activity, low substance use). The results also showed that within the emerging adult developmental period, there are differences in behavior for those who are in the younger (18-20) versus those that are older (21-25) in the developmental period. Limitations, future research, and implications for practice will also be discussed.     

Pathways to aggression and violence among African American adolescent males: the influence of normative beliefs, neighborhood, and depressive symptomatology

Youth violence continues to present a serious public health challenge in the United States, particularly so for African American adolescent males. The present study utilized a multilevel approach to predict aggression within a community sample of low-income, urban African American adolescent males (n?=?80). Participants' self-report data on normative beliefs about aggression, exposure to community violence, and depressive symptoms were used in multiple regression equations to predict (a) self-reported interpersonal aggression and (b) self-reported aggressive response style when angered. Results of this study indicate that all three of the independent variables contributed significantly to the prediction of interpersonal aggression and aggressive response style when angered. The findings are important for increasing our understanding of pathways to various types of youth aggression and guiding the development of evidence-based approaches to violence prevention among African American adolescent males.     

The Implications of Female Risk Factors for Substance Abuse Prevention in Adolescent Girls

SUMMARY

Trends in substance abuse prevention have not adequately addressed the needs of girls and female adolescents. The precursors to substance use and abuse in adolescence are analyzed specifically from a gender-specific perspective. Female drug use as both a maladaptive and adaptive pattern of coping behavior is examined within a socio-cultural context. This new understanding points to the need for alternative models of prevention with particular attention to risk, resiliency and protective factors. The expanded role of the family therapist as “Family Life Cycle Specialist” within a prevention model will be highlighted.     

Prevalence and Predictors of Service Utilization Among Racially and Ethnically Diverse Adolescents in Foster Care Diagnosed With Mental Health and Substance Abuse Disorders

This study examined the prevalence of mental health and substance abuse disorders and service utilization among a racially and ethnically diverse group of foster youth. Self-report data on symptoms and service receipt were used to identify whether groups of adolescents defined by their race and ethnicity were equally likely to receive services given the presence of a mental health or substance use disorder. Study findings showed that Caucasians are more likely to receive mental health services than African Americans. Race was not a significant predictor of accessing substance abuse services. Hispanic ethnicity was not a predictor of receipt of mental health or substance abuse treatment services. Implications for future research, practice, and policy are discussed.     

Examining Adolescent Suicidal Behaviors in Relation to Gun Carrying and Bullying

Guided by the interpersonal theory of suicide, this study examines the associations between gun carrying, bullying, and suicidal behaviors among high school students. Arizona Youth Risk Behavior Surveys were completed by 2,677 students in 2011; 9.0% reported suicide attempt in the past year, 5.5% carried a gun in the past 30 days, 8.5% were involved in school bullying, and 3.9% in cyberbullying. After accounting for depressive symptoms and self-harm, multiple linear regression results demonstrate that youth who carried a gun in the past 30 days were 3.98 times more likely to attempt suicide. Bullying was not associated with suicide attempt; however, youth report being 1.55 times more likely to make a suicide plan if they were bullied in school, 1.89 times more likely if cyberbullied, and .48 less likely if a cyberbully/victim. Results support the interpersonal theory of suicide; implications for school policies on gun carrying and bullying are discussed.     

Chapter 7

Abstract

This study investigated ethnic and gender differences in reported resource losses and gains for recovering substance abusers living in Oxford Houses (OH). Participants (n= 829) completed a version of Hobfoll's (1998) Conservation of Resources (COR) Evaluation. Results indicated significant individual differences in resources, based on gender, ethnicity, and the length of OH residential stay. Men reported fewer resource gains and losses than women. With respect to ethnicity, African-Americans reported greater gains and losses in resources than European-Americans. Individuals with less time in an OH also reported having experienced more losses in the past three months.     

Positive youth development among African American adolescents: examining single parents as a factor

Over the past few decades researchers have begun to examine the importance of understanding positive youth development and the many contexts in which youth find themselves. The social contexts in which adolescent development occurs are varied and complex, particularly the development among African American youth. African American youth are faced with a number of challenges including living in single-parent homes, high teen pregnancy rates, and poor neighborhoods, yet many of these youth continue to thrive. The purpose of this study was to examine the relationship between family structure (single-parenting) and adolescent outcomes such as educational aspirations and sexual activity among African American adolescent youth aged 12-17. Approximately 462 African American youth were surveyed. A number of positive results emerged; for instance, there was a negative correlation between family structure and educational aspirations. The number of parents in the home did not interfere with youth wanting to complete high school and go on to college (r?=?-?.218, r2?=?.04, p?相似文献   

Positive Youth Development Among African American Adolescents: Examining Single Parents as a Factor

Over the past few decades researchers have begun to examine the importance of understanding positive youth development and the many contexts in which youth find themselves. The social contexts in which adolescent development occurs are varied and complex, particularly the development among African American youth. African American youth are faced with a number of challenges including living in single-parent homes, high teen pregnancy rates, and poor neighborhoods, yet many of these youth continue to thrive. The purpose of this study was to examine the relationship between family structure (single-parenting) and adolescent outcomes such as educational aspirations and sexual activity among African American adolescent youth aged 12–17. Approximately 462 African American youth were surveyed. A number of positive results emerged; for instance, there was a negative correlation between family structure and educational aspirations. The number of parents in the home did not interfere with youth wanting to complete high school and go on to college (r = ? .218, r² = .04, p < .05). The results also showed that as educational aspirations increased, the number of sexual partners decreased (r = ? .141, meaning that the more adolescents reported a desire to complete high school, they were less likely to report having sexual intercourse. These positive results should be promoted among African American youth so that those faced with these challenges will note that others have overcome and accomplished their goals. In this population educational aspirations were important. Limitations and future research are discussed.     

Comparing social,emotional, and behavioral health risks among youth attending public versus parochial schools

Parochial schools are assumed to provide better social and academic experiences; however, few studies account for selection bias when comparing with public schools. This study contrasted public versus parochial schools using propensity score matching across a range of outcomes (e.g., perceptions of school, emotional symptoms, substance use, bullying). Using a sample of 58 public and 5 parochial high schools, the nonmatched analyses suggested a significant advantage for parochial schools students (e.g., better on 23 of 32 indicators). However, the propensity score matched analyses revealed nine differences (e.g., weapon carrying, smoking), two of which (i.e., stress and cyberbullying) favored public schools. While at first glance parochial schools generally appear to be healthier and safer learning environments, accounting for selection bias, the gap was narrowed. Students in parochial schools may struggle with issues related to social, emotional, and behavioral health risk, and thus prevention programs should also be implemented in these settings.     

University and Community Resources for Sexual Assault Survivors: Familiarity With and Use of Services Among College Students

Scholars have highlighted the prevalence of sexual assault on college campuses. Universities are generally equipped to address victimization through a range of resources, including counseling and psychological services. These resources are instrumental for posttrauma recovery, but students must be aware of and willing to use available services. This study used a sample of 505 survey responses collected at a mid-sized, public, Southern university regarding community and campus resource knowledge, familiarity, and service use. The majority of participants were unaware of resources. Females reported increased community resource familiarity compared to males. Multivariate models revealed distress disclosure, sexual victimization history, and race were significant predictors of service use but criminal justice major and law enforcement career plans were not significant. Implications are discussed.     

Implementing a Violence Intervention for Inner-City Adolescents

SUMMARY

Violence is a growing public health problem that disproportionately affects African American adolescents. There is a pressing need for more attention to be directed to the development of theoretically-based, research-validated, culturally sensitive preventive interventions and programs. This article focuses on the steps involved in the development, implementation, and evaluation of a culturally-specific program designed to reduce the prevalence of violent behaviors and related injuries and deaths among urban, African American teens. The project's success was heavily dependent upon the commitment and cooperation of the community organizations that participated in the field research. Although numerous unexpected challenges were encountered, the preliminary findings indicate that it is possible to effectively implement preventive interventions in urban communities with modest funding.